Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Casey Kwon Kim, MD

Individual provider Family Medicine Physician · NPI 1073578704

Dr. Casey Kwon Kim, MD is a Family Practice in Lynnwood, Washington. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18623 Highway 99 Ste 230
Lynnwood, WA 98037-4552
Phone: (425) 672-8282
Fax: (425) 275-5144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00046002 (WA)

Record details

NPI number1073578704
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2006
Last updated in NPPESFebruary 18, 2011
Mailing address18623 Highway 99, Ste 230, Lynnwood, WA 98037-4552

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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